{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:12:34Z","timestamp":1789776754541,"version":"4.0.1"},"reference-count":8,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,2]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>Croup (laryngotracheitis) is frequently encountered in the emergency department in a young child presenting with stridor. We describe a rare case of croup secondary to SARS-CoV-2 in an 18-month-old child who presented with stridor and respiratory distress and required urgent intubation. Subsequently, the child developed multisystem inflammatory syndrome in children (MIS-C). The child was monitored in paediatric intensive care unit. We would like to highlight that COVID-19 croup in children may be an indicator for MIS-C, and close monitoring is warranted as MIS-C is a life-threatening condition. Our limited experience suggests that COVID-19 croup especially if associated with MIS-C has an underlying more severe pathology and may require prolonged treatment in comparison with the typical croup or even COVID-19 croup. It is important to recognise this clinical entity during a time when most countries are in a third wave of COVID-19 pandemic.<\/jats:p>","DOI":"10.1136\/bcr-2021-244769","type":"journal-article","created":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T12:55:58Z","timestamp":1631624158000},"page":"e244769","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Croup and COVID-19 in a child: a case report and literature review"],"prefix":"10.1136","volume":"14","author":[{"given":"Chee Chean","family":"Lim","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, WP Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1974-4379","authenticated-orcid":false,"given":"Jeyasakthy","family":"Saniasiaya","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, WP Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeyanthi","family":"Kulasegarah","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, WP Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,9,14]]},"reference":[{"key":"2025082708460400000_14.9.e244769.1","article-title":"A case series of pediatric croup with COVID-19","volume":"15","author":"Venn","year":"2020","journal-title":"Am J Emerg Med"},{"key":"2025082708460400000_14.9.e244769.2","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2020-012179","article-title":"A curious case of croup: laryngotracheitis caused by COVID-19","volume":"147","author":"Pitstick","year":"2021","journal-title":"Pediatrics"},{"key":"2025082708460400000_14.9.e244769.3","doi-asserted-by":"crossref","unstructured":"Liguoro I , Pilotto C , Bonanni M . SARS-COV-2 infection in children and newborns: a systematic review. Eur J Pediatr 2020:1\u201318.doi:10.1007\/s00431-020-03684-7","DOI":"10.21203\/rs.3.rs-24629\/v1"},{"key":"2025082708460400000_14.9.e244769.4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.2648"},{"key":"2025082708460400000_14.9.e244769.5","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6924e2"},{"key":"2025082708460400000_14.9.e244769.6","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.15585\/mmwr.mm6932e3","article-title":"Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized with Laboratory-Confirmed COVID-19 - COVID-NET, 14 States, March 1-July 25, 2020","volume":"69","author":"Kim","year":"2020","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2025082708460400000_14.9.e244769.7","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1016\/S2352-4642(20)30177-2","article-title":"COVID-19 in children and adolescents in Europe: a multinational, multicentre cohort study","volume":"4","author":"G\u00f6tzinger","year":"2020","journal-title":"Lancet Child Adolesc Health"},{"key":"2025082708460400000_14.9.e244769.8","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m3249"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244769","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:46:09Z","timestamp":1756309569000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244769"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":8,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9,14]]},"published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1136\/bcr-2021-244769"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244769","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}